Dr. Brandon K Moore, DO
Dr. Brandon K Moore is a Internal Medicine Physician provider (Internal Medicine) practicing in Johnson City, TN, registered in the NPPES registry with NPI 1396908430 since 2008. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396908430 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Brandon K Moore |
| Credential | DO |
| Sex | Male |
| Practice address | 301 MED TECH PKWY STE 240, Johnson City, TN, 37604 |
| Phone | 4237945520 |
| Fax | 4232826940 |
| Enumeration date | 2008-07-09 |
| Last updated in NPPES | 2020-05-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | 0102202866 | VA |
| 207R00000X | Internal Medicine Physician | Primary | 2317 | TN |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1526217 | Medicaid | TN | — |
| 7100188700 | Medicaid | KY | — |
| 1396908430 | Medicaid | NC | — |
| P01050137 | Other | TN | RR MEDICARE |
| 1396908430 | Medicaid | VA | — |
Copy-ready billing details
Provider: Brandon Moore, DO NPI: 1396908430 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 301 MED TECH PKWY STE 240, Johnson City, TN, 37604
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164427290 | Mary Gibson | Individual | Internal Medicine Physician | Johnson City, TN |
| 1396740957 | Keith Cook | Individual | Internal Medicine Physician | Johnson City, TN |
| 1548223084 | Pitchar Theerathorn | Individual | Internal Medicine Physician | Johnson City, TN |
| 1366471641 | Rachel Keyt | Individual | Medical Physician Assistant | Johnson City, TN |
| 1124043120 | Jeremy Elliott | Individual | Family Medicine Physician | Johnson City, TN |
| 1851424642 | Debra Mcclellan | Individual | Registered Dietitian | Johnson City, TN |
| 1881814648 | Matthew Garrison | Individual | Internal Medicine Physician | Johnson City, TN |
| 1417146374 | Anita Harker | Individual | Hospitalist Physician | Johnson City, TN |
Verify this record
Cross-check NPI 1396908430 against the authoritative CMS record: view Dr. Brandon K Moore on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1396908430 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-05-02.